国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2011年
5期
627-630
,共4页
蒲春林%王英刚%张培新%马合苏提%闵立贵%张建军%唐泽天%阿布都热合曼%南玉奎%靳宏勇
蒲春林%王英剛%張培新%馬閤囌提%閔立貴%張建軍%唐澤天%阿佈都熱閤曼%南玉奎%靳宏勇
포춘림%왕영강%장배신%마합소제%민립귀%장건군%당택천%아포도열합만%남옥규%근굉용
精索静脉曲张%栓塞,治疗性
精索靜脈麯張%栓塞,治療性
정색정맥곡장%전새,치료성
Varicocele%Embolization Therapeutic
目的 通过改良Palomo术与介入栓塞治疗精索静脉曲张的临床对比，探讨两者之间的优劣性。方法 234例患者随机分为两组，改良Palomo术高位结扎组117例，介入栓塞组117例，随访3～6个月，分别就手术时间、术中出血、住院时间、医疗费用方面、并发症发生率、复发率等方面进行比较。结果 两组病例对比观察，手术时间分别为31 ±6 min和41±5 min，术中出血量分别为12.68±4.5ml和3.72±2.8ml，住院时间分别为8.2±4.5 d和6.1 ±2.4d，医疗费用分别为7634±1293元和10603±1448元；两组在手术时间、术中出血、住院时间、医疗费用方面有差异性(p＜0.05)，在并发症发生率、术后复发率方面无显著性差异(p＞0.0 5)，在术前、术后精液质量对比有显著性差异(p＜0.01)，两组患者均在治疗后精液质量显著提高，但两组间治疗效果无显著差异(p＞0.0 5)。结论与静脉栓塞治疗相比，改良Palomo术中出血较多，住院时间长，但手术时间短，医疗费用低，是首选手术方式；静脉栓塞治疗可能出现严重的并发症，需慎用，较适合复发者。
目的 通過改良Palomo術與介入栓塞治療精索靜脈麯張的臨床對比，探討兩者之間的優劣性。方法 234例患者隨機分為兩組，改良Palomo術高位結扎組117例，介入栓塞組117例，隨訪3～6箇月，分彆就手術時間、術中齣血、住院時間、醫療費用方麵、併髮癥髮生率、複髮率等方麵進行比較。結果 兩組病例對比觀察，手術時間分彆為31 ±6 min和41±5 min，術中齣血量分彆為12.68±4.5ml和3.72±2.8ml，住院時間分彆為8.2±4.5 d和6.1 ±2.4d，醫療費用分彆為7634±1293元和10603±1448元；兩組在手術時間、術中齣血、住院時間、醫療費用方麵有差異性(p＜0.05)，在併髮癥髮生率、術後複髮率方麵無顯著性差異(p＞0.0 5)，在術前、術後精液質量對比有顯著性差異(p＜0.01)，兩組患者均在治療後精液質量顯著提高，但兩組間治療效果無顯著差異(p＞0.0 5)。結論與靜脈栓塞治療相比，改良Palomo術中齣血較多，住院時間長，但手術時間短，醫療費用低，是首選手術方式；靜脈栓塞治療可能齣現嚴重的併髮癥，需慎用，較適閤複髮者。
목적 통과개량Palomo술여개입전새치료정색정맥곡장적림상대비，탐토량자지간적우렬성。방법 234례환자수궤분위량조，개량Palomo술고위결찰조117례，개입전새조117례，수방3～6개월，분별취수술시간、술중출혈、주원시간、의료비용방면、병발증발생솔、복발솔등방면진행비교。결과 량조병례대비관찰，수술시간분별위31 ±6 min화41±5 min，술중출혈량분별위12.68±4.5ml화3.72±2.8ml，주원시간분별위8.2±4.5 d화6.1 ±2.4d，의료비용분별위7634±1293원화10603±1448원；량조재수술시간、술중출혈、주원시간、의료비용방면유차이성(p＜0.05)，재병발증발생솔、술후복발솔방면무현저성차이(p＞0.0 5)，재술전、술후정액질량대비유현저성차이(p＜0.01)，량조환자균재치료후정액질량현저제고，단량조간치료효과무현저차이(p＞0.0 5)。결론여정맥전새치료상비，개량Palomo술중출혈교다，주원시간장，단수술시간단，의료비용저，시수선수술방식；정맥전새치료가능출현엄중적병발증，수신용，교괄합복발자。
Objectives To investigate the clinical effect of different treatments of varicccele (Vc). Methods 234 cases were divided into two groups , modified Palomo procedure varicocele ligation group(117cases) and interventional embolization therapy of varicocele group ( 117 cases). All the patients they were followed up for three years post operation. The treatment procedure, operation effect and complications ect were compared between two groups. Results The operation times were 31 ±6 min and 41 ± 5 min , the intraoperative hemorrhage were 12.68± 4. 5ml and 3.72 ± 2.8m l, the hospitalization time were 8.2 ± 4.5d and 6.1 ± 2.4d , the medical cost were RMB7634 ± 1293 and 10603 ± 1448 , respectively, in the retroperitoneal highligation and interventional embolization therapy of varicocele groups ( p ＜ 0.05 ). There was no statistic difference in complication rates , the recurrence rates between two groups( p ＞ 0.05 ). All the 2 groups before and after treatment were statically significant differences in semen quality ( p ＜0.01). Semen quality were improved after therapy in all 2 groups. But the results of the 2 threpy methods has no significant difference( p ＞ 0.05 ). Conclusions Modified Palomo procedure varicocele ligation is the first choice for patients with varicocele. Vein embolism is recommended for recurrent and bilateral varicocele and should be used cautiously for its severe complications.
